Research Article

Use of Intravenous Paracetamol Preoperatively Favors Lower Risk of Delirium and Functional Recovery in Elderly Patients with Hip Fracture: A Propensity Score-Matched Analysis

Table 1

Patient characteristics at baseline comparisons before and after propensity score matching.

VariablesPrematchingPostmatching
Non-IVP group (n = 1576)IVP group (n = 590) valueNon-IVP group (n = 531)IVP group (n = 531) value

Demographics
Gender, n (%)0.0430.565
 Male494 (31.3%)212 (35.9%)187 (35.2%)196 (36.9z5)
 Female1082 (68.7%)378 (64.1%)344 (64.8%)335 (63.1%)
Age, years79.0 ± 7.279.2 ± 7.30.51079.0 ± 7.479.3 ± 7.20.518
Age group, n (%)0.1420.174
 65–69172 (10.9%)60 (10.2%)60 (11.3%)51 (9.6%)
 70–79639 (40.5%)230 (39.0%)218 (41.1%)211 (39.7%)
 80–89655 (41.6%)251 (42.5%)215 (40.5%)225 (42.4%)
 90–99103 (6.5%)49 (8.3%)34 (6.4%)44 (8.3%)
 ≥1007 (0.4%)0 (0.0%)4 (0.8%)0 (0.0%)
BMI (kg/m2), n (%)0.9370.939
 Normal (BMI < 24)1023 (64.9%)384 (65.1%)345 (65.0%)347 (65.3%)
 Overweight (24 ≤ BMI < 28)431 (27.3%)163 (27.6%)146 (27.5%)147 (27.7%)
 Obesity (BMI ≥ 28)122 (7.7%)43 (7.3%)40 (7.5%)37 (7.0%)
Residence<0.0010.413
 Rural670 (42.5%)189 (32.0%)199 (37.5%)212 (39.9%)
 Urban906 (57.5%)401 (68.0%)332 (62.5%)319 (60.1%)
Smoking history (Yes)186 (11.8%)90 (15.3%)0.03287 (16.4%)78 (14.7%)0.446
Drinking history (Yes)373 (23.7%)157 (26.6%)0.156130 (24.5%)134 (25.2%00.776

Injury-related data
Fracture type, n (%)<0.0010.422
 Stable (A1.1–A2.1)928 (58.9%)252 (42.7%)244 (46.0%)231 (43.5%)
 Unstable (A2.2–A3.3)648 (41.1%)338 (57.3%)287 (54.0%)300 (56.5%)
Time from injury to surgery, days6.1 ± 3.15.9 ± 3.30.1006.0 ± 3.16.0 ± 3.30.766

Surgery-related data
ASA, n (%)0.7130.859
 1306 (19.4%)110 (18.6%)101 (19.0%)99 (18.6%)
 2451 (28.6%)184 (31.2%)152 (28.6%0164 (30.9%)
 3575 (36.5%)200 (33.9%)196 (36.9%)181 (34.1%)
 4206 (13.1%)82 (13.9%)72 (13.6%)75 (14.1%)
 538 (2.4%)14 (2.4%)10 (1.9%012 (2.3%)
mECM, n (%)0.5800.752
 <031 (2.0%)13 (2.2%)12 (2.3%)13 (2.4%)
 0804 (51.0%)278 (47.1%)272 (51.2%)250 (47.1%)
 1–5257 (16.3%)99 (16.8%)86 (16.2%)90 (16.9%)
 6–13420 (26.6%)174 (29.5%)140 (26.4%)155 (29.2%)
 ≥1464 (4.1%)26 (4.4%)21 (4.0%)23 (4.3%)

In-hospital data
Hb level at admission (g/dL)0.7290.962
 Hb ≥ 12454 (28.8%)179 (30.3%)155 (29.2%)160 (30.1%)
 12 > Hb ≥ 10670 (42.5%)237 (40.2%)219 (41.2%)215 (40.5%)
 10 > Hb ≥ 8371 (23.5%)146 (24.7%)127 (23.9%)129 (24.3%)
 Hb < 881 (5.1%)28 (4.7%)30 (5.6%)27 (5.1%)
Blood transfusion (Yes)1203 (76.3%)149 (74.7%)0.442413 (77.8%)400 (75.3%)0.346
VAS at admission4.9 ± 1.76.4 ± 1.5<0.0015.9 ± 1.36.0 ± 1.60.410
NRS at admission4.9 ± 1.76.4 ± 1.5<0.0015.9 ± 1.35.9 ± 1.60.934
GDS3.5 ± 1.64.4 ± 1.3<0.0014.0 ± 1.94.2 ± 1.70.109
FIM84.6 ± 10.683.4 ± 10.20.02283.1 ± 10.283.3 ± 10.90.769
Anxiety (Yes)142 (9.0%)507 (14.1%)0.001102 (19.2%)82 (15.4%)0.105

Values are presented as the number (%) or mean ± SD (standard deviation). , statistical significance. BMI, body mass index; ASA, American Society of Anesthesiologists; mECM, modified Elixhauser’s Comorbidity Measure; VAS, visual analog scores; NRS, numerical rating scores; GDS, Geriatric Depression Scale; FIM, functional independence measure.